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1386889251
THERESA REAVIS
NEW YORK, NY
NPI
1386889251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 127071)
Enumeration Date
2008-12-08
Last Update Date
2008-12-08
Business Address
-- THERESA REAVIS LPN
110 W 97TH ST
NEW YORK, NY 10025-6450
Phone number: 212-749-1820
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Mailing Address
-- THERESA REAVIS LPN
110 W 97TH ST
NEW YORK, NY 10025-6450
Phone number: 212-749-1820
Copy
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